Individual
CAROLINE MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13206 SAN BLAS LOOP, LARGO, FL 33774-2263
(727) 480-2669
Mailing address
13206 SAN BLAS LOOP, LARGO, FL 33774-2263
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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